SSM Health Ripon Community Hospital
845 Parkside St, Ripon, WI · SSM Health · · NPI 1053362624
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,158.20 | $3,924.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,092.10 | $5,622.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,092.10 | $5,622.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $581.90 | $1,058.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $526.35 | $957.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $217.80 | $396.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $275.55 | $501.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $495.00 | $900.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $726.00 | $1,320.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $1,381.60 | $2,512.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $1,887.00 – $2,334.00 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $11.77 – $26.62 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $526.35 | $957.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $2,654.00 – $4,761.00 | 3 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $550.55 | $1,001.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,543.30 | $2,806.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs excision ingrown nail CPT 11765 | $825.00 | $1,500.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $581.35 | $1,057.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.85 – $8.49 | 4 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,445.20 | $6,264.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $3,735.00 – $7,791.00 | 3 |
| Ghs fb removal - incisional CPT 10121 | $3,392.40 | $6,168.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $2,959.00 – $3,388.00 | 3 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $23.65 | $43.00 | $6.98 – $14.12 | 4 |
| Ghs fish cytogen CPT 88271 | $129.25 | $235.00 | $21.42 – $37.49 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $271.70 | $494.00 | $51.19 – $89.58 | 4 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $35.09 – $71.00 | 4 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $13.00 – $40.20 | 4 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $15.49 – $31.33 | 4 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $9.47 – $17.12 | 4 |
| Ghs histoplasma antigen CPT 87385 | $147.95 | $269.00 | $13.25 – $24.26 | 4 |
| Ghs HIV antibody CPT 86703 | not published | not published | $13.71 – $27.74 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $106.14 – $185.75 | 4 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,470.95 | $8,129.00 | $3,388.00 – $7,791.00 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,517.90 | $4,578.00 | $3,388.00 – $4,761.00 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,354.10 | $2,462.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,354.10 | $2,462.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $29.92 – $52.36 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $540.10 | $982.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs inf midline insertion CPT 36140 | $2,365.55 | $4,301.00 | $1,887.00 – $5,512.00 | 3 |
| Ghs inhibitor screen CPT 85335 | $132.00 | $240.00 | $12.87 – $26.03 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $213.40 | $388.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,899.15 | $3,453.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,442.10 | $2,622.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs inj tendon origin/insertion CPT 20551 | $744.15 | $1,353.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $3,154.25 | $5,735.00 | $1,887.00 – $5,512.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,908.85 | $7,107.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs insertion of needle - bone CPT 36680 | $434.50 | $790.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $937.75 | $1,705.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,134.10 | $2,062.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $84.70 | $154.00 | $1,887.00 – $5,512.00 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $633.05 | $1,151.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $101.75 | $185.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $509.85 | $927.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $627.55 | $1,141.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $790.90 | $1,438.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $746.35 | $1,357.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,134.10 | $2,062.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $737.55 | $1,341.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,184.15 | $2,153.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,669.25 | $3,035.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,256.75 | $2,285.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $3,388.00 – $4,761.00 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $1,887.00 – $2,654.00 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $17.41 | 4 |
| Ghs mbp CPT 83873 | $139.70 | $254.00 | $17.20 – $34.82 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $95.15 | $173.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $95.15 | $173.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $95.15 | $173.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $95.70 | $174.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $70.95 | $129.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $264.02 | $480.04 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $174.50 | $317.27 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $229.90 | $418.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,128.60 | $2,052.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $866.25 | $1,575.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve blk intercostal, single level CPT 64420 | $949.30 | $1,726.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block axillary nerve CPT 64417 | $1,730.85 | $3,147.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block brachial plexus CPT 64415 | $1,316.15 | $2,393.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block celiac plexus CPT 64530 | $1,177.00 | $2,140.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block interscaline CPT 64510 | $1,053.80 | $1,916.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,185.25 | $2,155.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block sciatic nerve CPT 64445 | $880.00 | $1,600.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs nerve block suprascapular CPT 64418 | $856.90 | $1,558.00 | $2,654.00 – $3,030.00 | 3 |
| Ghs ng placement w fluoro guidance CPT 43752 | $602.25 | $1,095.00 | $1,887.00 – $2,654.00 | 3 |
| Ghs o2 saturation CPT 82810 | $54.45 | $99.00 | $9.77 – $17.66 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $714.45 | $1,299.00 | $2,654.00 – $3,030.00 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.